I feel like my breasts are too far apart & are too bottom heavy with nipples too high up with scars in fold now riding up. Am I bottoming out with lateral displacement? I was a 32a pre surgery, had 275cc smooth silicone implants under the muscle moderate profile (post-op a 34c). If I decide to revise, should I get an internal bra, textured implants, change to higher profile or just have the pockets tightened? Could the implants shifted because I went too large? Can the gap be decreased? Thanks!
August 30, 2016
Answer: Implants moving to the side and falling....what to do? Thank you for your question and reviewing your concerns. Smooth silicone implants can work very well for most patients. There is a subset of patients, however, in which the implants settle excessively and fall laterally (to the side). This is more likely to happen if you had limited supportive breast tissue or stretchable skin. It is also more likely to occur if your ribcage angles outwards, because the implants will always want to follow the angulation of the chest. When you lay down, the implants will want to stretch the side of your breasts and stretch-out the pocket.Sometimes, a capsulorrhapy is all that is needed to improve your situation. In this procecure, the doctor will tighten and reduce the size of your pockets such that the implants move up and in. The capsulorrhapy can be strengthened with a supportive material such as Seri (silk mesh) or ADM. Textured implants can be helpful, but require a moderate amount of breast tissue to conceal (to avoid wrinkling). I would recommend speaking to your doctor about your concerns and you should get some good options. Best wishes!
Helpful
August 30, 2016
Answer: Implants moving to the side and falling....what to do? Thank you for your question and reviewing your concerns. Smooth silicone implants can work very well for most patients. There is a subset of patients, however, in which the implants settle excessively and fall laterally (to the side). This is more likely to happen if you had limited supportive breast tissue or stretchable skin. It is also more likely to occur if your ribcage angles outwards, because the implants will always want to follow the angulation of the chest. When you lay down, the implants will want to stretch the side of your breasts and stretch-out the pocket.Sometimes, a capsulorrhapy is all that is needed to improve your situation. In this procecure, the doctor will tighten and reduce the size of your pockets such that the implants move up and in. The capsulorrhapy can be strengthened with a supportive material such as Seri (silk mesh) or ADM. Textured implants can be helpful, but require a moderate amount of breast tissue to conceal (to avoid wrinkling). I would recommend speaking to your doctor about your concerns and you should get some good options. Best wishes!
Helpful
August 30, 2016
Answer: Malposition You have malposition with bottoming out that will require capsular sling and tightening of the inframammary fold. Seek a breast revision specialist in your area.
Helpful
August 30, 2016
Answer: Malposition You have malposition with bottoming out that will require capsular sling and tightening of the inframammary fold. Seek a breast revision specialist in your area.
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